Medical Biller

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Candid Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

💰 $150k Seed Round on 2020-03

Healthcare Insurance • Finance • SaaS

Candid Health is an innovative company providing a comprehensive revenue cycle automation platform tailored for healthcare providers. The platform helps streamline, automate, and optimize the entire revenue cycle, enabling healthcare organizations to enhance insurance collection rates and minimize billing issues. Candid Health offers seamless integration through modern APIs and direct connections with existing infrastructure, allowing for real-time opportunities to be pinpointed and claim issues to be prevented before they occur. This solution is particularly beneficial for fast-growing digital health companies aiming to improve financial health.

📋 Description

• You’ll contact payers for medical claims status, followup denials, or partial payments • You’ll obtain payer requirements for timely adjudication of claims • You’ll file claims with appropriate documentation attached • You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers • You’ll process all incoming and outgoing correspondence as assigned • You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company • You’ll help facilitate communication on error and denial trends • You’ll initiate the review/appeals process on disputed claims • You’ll maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends • You’ll maintain HIPAA guidelines

🎯 Requirements

• You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech) • You have knowledge of CPT and ICD-10 • You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data • You are a self starter • You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t • You have excellent oral and written communication skills • You have effective multitasking skills • You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization